V5095 Implant mid ear hearing pros
Also known as: middle ear implant, osseointegrated hearing implant, implant hearing prosthesis
Implantable middle ear hearing prosthesis or osseointegrated hearing implant device.
In Plain Language
surgically implanted hearing device; inner ear implant
Clinical Context
Used for patients with conductive, mixed, or sensorineural hearing loss unsuitable for conventional hearing aids. Includes devices like bone-anchored hearing aids (BAHA) and direct drive ossicular implants.
RVU Information
CPT V5095 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.
Specialties
Frequently Asked Questions
What is CPT code V5095?
CPT V5095 (Implant mid ear hearing pros) is a V Codes (Vision) code. Implantable middle ear hearing prosthesis or osseointegrated hearing implant device.
Does Medicare cover V5095?
Medicare coverage for V5095 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for patients with conductive, mixed, or sensorineural hearing loss unsuitable for conventional hearing aids. Includes devices like bone-anchored hearing aids (BAHA) and direct drive ossicular implants. A physician order is typically required.
When is CPT V5095 used?
Used for patients with conductive, mixed, or sensorineural hearing loss unsuitable for conventional hearing aids. Includes devices like bone-anchored hearing aids (BAHA) and direct drive ossicular implants.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.